脐部切口腹腔镜手术与下腹横纹小切口术治疗小儿腹股沟斜疝的美学效果及护理配合  

Aesthetic Effect and Nursing Cooperation of Laparoscopic Surgery Through the Umbilical Incision and Small Incision Surgery Through Lower Abdominal Transverse Striation in the Treatment of Pediatric Indirect Inguinal Hernia

作　　者：彭丽媛 PENG Liyuan(Department of Urology Surgery,Children's Hospital of Nanjing Medical University,Nanjing 210000,Jiangsu,China)

机构地区：[1]南京医科大学附属儿童医院泌尿外科,江苏南京210000

出　　处：《中国美容医学》2022年第9期33-36,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:分析脐部切口腹腔镜手术与下腹横纹小切口术治疗小儿腹股沟斜疝的美学效果及护理配合。方法:选取2020年1月-2021年1月在笔者医院接受手术的89例腹股沟斜疝患儿为研究对象,根据不同手术方案分为脐部组(n=47,脐部切口腹腔镜手术)与下腹组(n=42,下腹横纹小切口手术),两组患儿均进行相同的围术期护理。对比两组患儿手术治疗情况、疼痛情况、切口美学效果满意度、术后不良事件发生情况以及护理配合度等。结果:脐部组手术耗时、失血量、切口大小、住院耗时明显小于下腹组,而隐匿疝发现率明显大于下腹组,差异有统计学意义(P<0.05)。术后1 d、3 d及5 d,两组视觉模拟评分法(Visual analogue score,VAS)评分明显减少,且脐部组各时间段的VAS评分明显低于下腹组,差异有统计学意义(P<0.05)。术后1周、1个月及3个月,两组患儿家属Kiyak满意度评分明显提高,脐部组各时间段的Kiyak满意度评分明显高于下腹组,差异有统计学意义(P<0.05)。两组术后不良事件总发生率比较差异无统计学意义(P>0.05)。脐部组护理配合度各维度评分及总分明显高于下腹组,差异有统计学意义(P<0.05)。结论:脐部切口腹腔镜手术可明显提高腹股沟斜疝患儿的恢复效率,且术中创伤更小,切口美学效果满意度更佳,预后安全性有保障。另外,对患儿需进一步加强术后疼痛护理管理工作,以期提高护理配合度与康复效率。Objective The aim of this study was to analyze the aesthetic effect and nursing cooperation of laparoscopic surgery through the umbilical incision and small incision surgery through lower abdominal transverse striation in the treatment of pediatric indirect inguinal hernia.Methods Eighty-nine children with indirect inguinal hernia who underwent surgery in the hospital were selected as the research subjects between January 2020 and January 2021.According to the surgical plan,the children were divided into the umbilical group (n=47,laparoscopic surgery through the umbilical incision) and the lower abdominal group (n=42,small incision surgery through lower abdominal transverse striation).All children enrolled received the same perioperative nursing.Surgical conditions,pain,cosmetic results of incision,postoperative adverse events and nursing cooperation were compared between the two groups.Results The operation time,blood loss,incision size and hospital stay of the umbilical group were significantly shorter/less than those of the lower abdominal group,while the discovery rate of concealed hernia was significantly higher than that in the lower abdominal group,the differences were statistically significant (P<0.05).The visual analogue scale (VAS) scores of the two groups were significantly reduced at 1 d,3 d and 5 d after surgery,and the umbilical group had significantly lower VAS scores than the lower abdominal group during each period (P<0.05).Family members’ Kiyak satisfaction scores were significantly improved at 1 week,1 month and 3 months after operation,and the umbilical group had significantly higher scores than the lower abdominal group (P<0.05).There was no statistical difference in the total incidence of adverse events between the two groups (P>0.05).The nursing cooperation scores of the umbilical group were significantly higher than those of the lower abdominal group (P<0.05).Conclusion Laparoscopic surgery through the umbilical incision can significantly improve the recovery efficiency of children with

关 键 词：腹股沟斜疝 儿童 脐部切口腹腔镜手术 下腹横纹小切口 美学效果 护理配合 

分 类 号：R656.21[医药卫生—外科学]